| NPI | 1669657466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTA PITTMAN Vice President 708-333-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 036-065839) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |